From:
"Susan Liszewski DVM"
Date: 2008-03-27 14:40:18 UTC
Subject: [ferrethealth] Re: Need help with test results please!
To: ferrethealth@yahoogroups.com
Some of these numbers are so far off I would consider rechecking ther
labs. Also the CK is so high if it was tough to get blood then it
stimulates changes that can cause the ASF and the CK (CPK) to get
really high. The GGT would reflect a biliary issue but again I would
recheck it. Also there may have been a lot of hemolysis in the
sample which can alter results. Sorry not more help. Also be sure
you have x rays too.
--- In ferrethealth@yahoogroups.com, "ferretzrule" <ferretzrule@...>
wrote:
>
> I am hoping that a vet or other knowledgeable person here
> will assist me by interpreting these outside
> lab reports for my 27 month old sprite and giving an opinion. I am
> very worried about this little girl! We live in a remote area and
> our vet, though willing to learn, is admittedly lacking in the area
> of ferret disease diagnostics. After receiving these lab results
> however, she told me that she felt Bindi is not well enough for an
> exploratory. We will be making the 3.5-4 hour trip to the valley
for
> an abdominal ultrasound on April 3rd.
>
> History: Bindi had her last physical in January 2008. She received
> a rabies shot at that time. All vital signs were normal. Spleen
> slightly enlarged, vet did not feel this was out of the ordinary.
> She weighed 899 grams and has maintained that weight since.
>
> On 3-22-08/1900 hrs., I heard what sounded like one of my other
> ferrets snoring (common occurrence). The sound got louder and I
> realized it was coming from under the sofa where several of my
> fuzzies hang out. Upon pulling the sofa out, I found Bindi
> unconscious and lying in her own feces. A home BG test was done,
> result 103 (my monitor has been compared to that of our vet's and
> found to be 29mg/dL lower). It was 20 minutes before she became
> responsive again. She was unable to stand without falling. I was
> able to get her to eat soup apx one hour later. No emergency vet in
> our area within a 3.5-4 hour drive. She was unable to stand at the
> food and water dishes so I hand fed and syringe watered her
> throughout the night. By morning I noticed there was diffuse
> swelling of her neck, more pronounced on the right side, making her
> look almost like her neck was broken!
>
> 3-23-08 She was still falling down while trying to walk. Continued
> assisted feeding and watering throughout the day and night. Neck
> still very swollen.
>
> 3-24-08 Bindi was seen by the vet early. Her in house BG was 150
one
> hour after eating soup. Vet noted she was unable to palpate any
> lymph nodes in the neck. Swelling diffuse around the neck. Temp
> normal, heart rate and resp. normal. She was kept at the clinic for
> the afternoon. Vet attempted to aspirate the swollen neck without
> success. Xrays of the neck were unremarkable, no sign of blockage,
> trachea appeared normal. Blood was drawn from the jugular while
> under isofluorane for outside testing. Bindi was given a shot of
> dexamethasone and put on amoxicillin, 0.2cc 2x daily (15mL/kg) and
> sent home. Bladder and bowel function normal.
>
> 3-25-08 The neck swelling had gone down substantially, but still
some
> swelling and mostly right side. Her balance is improving and she
was
> removed from segregation because she appeared to be depressed. Her
> mood improved later that day after being returned to her business.
> The following test results were received that evening:
>
> Ferret Profile Chemistry Panel
> ALK. PHOSPHATASE 8
> ALT (SGPT) 194
> AST (SGOT) 499
> CK 3300 (Results verified by repeat analysis)
> GGT 449 (Results verified by repeat analysis)
> ALBUMIN 3.5
> TOTAL PROTEIN 6.1
> GLOBULIN 2.6
> TOTAL BILIRUBIN 0.2
> BUN 22
> CREATININE 0.7
> CHOLESTEROL 170
> GLUCOSE 69(In house testing the previous day
was 150
> one hour after a meal)
> CALCIUM 8.9
> PHOSPHORUS 4.6
> POTASSIUM 4.6
> SODIUM 159
> A/G RATIO 1.3
> Ferret Profile CBC Comprehensive
> WBC 6.2
> RBC (Sample quantity not sufficient for testing)
> HGB (Sample quantity not sufficient for testing)
> HCT 39.0
> MCV, MCH, and MCHC (Sample quantity not sufficient for testing)
> NEUTROPHIL SEG 63
> NEUTROPHIL BANDS 0
> LYMPHOCYTES 32
> MONOCYTES 4
> EOSINOPHIL 1
> BASOPHIL 0
> AUTO PLATELET ADEQUATE
> REMARKS: WBC AND RBC MORPHOLOGY APPEARS NORMAL, SLIDE REVIEWED
> MICROSCOPICALLY, WBC PERFORMED BY MANUAL METHOD.
> ABSOLUTE NEUTROPHIL SEG 3906
> ABSOLUTE LYMPHOCYTE 1984
> ABSOLUTE MONOCYTE 248
> ABSOLUTE EOSINOPHIL 62
> ABSOLUTE BASOPHIL 0
>
> I hope this is enough information for someone to form an opinion of
> what might be ailing my sweet girl, or at least point me and my vet
> in the right direction to help her.
>
> As always, thank you for the assistance.
>
> Bonnie and the Chaos Crew.
>
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